Information

  • Document No.

  • Audit Title

  • Department

  • Department Chair

  • Department Chair Email

  • Conducted on

  • Prepared by

General Information

  • Lab Room Number

  • Conducted with

ADMINISTRATIVE

  • A copy of the MVCC Hazard Communication Program is available for all employees

  • All employees have completed the OSHA required Hazard Communication training

  • MSDS/SDS are available and clearly located

  • Updated SDS's are submitted to the appropriate department contact

  • Chemical inventory list is updated/submitted annually to the Safety Coordinator

HOUSEKEEPING

  • General orderliness

  • Aisles and exits are kept clear and accessible

  • Heavy items are stored on lower shelves

  • No storage within 18 in of sprinkler heads

  • Work areas are illuminated

  • Hot surfaces and equipment are labeled

  • Sink and counters are kept clean and uncluttered

General Safety

  • Emergency Procedures for Chemical Spill and cleans up are posted

  • Emergency Contact information is up-to-date and posted

  • Safety Showers and eyewash stations are accessible and working

  • Fire alarm pull stations and fire extinguishers are accessible (3 ft clearance)

  • Emergency shutoffs are labeled and accessible

  • PPE is available and used when required

  • No tripping/slipping hazards

  • Emergency lighting is working

  • Clothing and footwear are appropriate for the Lab

  • No food or beverages are present

  • All injuries or exposures are being reported per College Policy

  • All employees and student workers have completed the necessary training and records are updated/maintained

  • Only authorized personnel are allowed in the Lab Prep Area

  • Labs/Prep areas are secured when not in use

CHEMICAL STORAGE

  • All containers are properly labeled (primary/secondary/waste)

  • All chemical containers are in good condition

  • Non-compatible materials are stored separately

  • Containers are kept closed to prevent spills/leaks

  • Corrosives are stored below eye level

  • Chemicals are not being stored on bench tops, on carts, or on the floor

  • Refrigerators are organized and properly labeled, i.e. No Food

  • Flammable liquid storage is minimized (<10 gallons outside of a flammable storage cabinet)

  • No open flames or sources of ignition near flammable storage or usage area

FUME HOODS

  • Fume hoods are clear of obstruction in front and behind

  • Fume hoods are in good working condition

  • Fume hood sashes are closed when not in use

  • Safe operating sash height is marked

  • Sash and interior lighting are working properly

  • Fume hoods are routinely inspected

  • Snap inspection tag

  • Chemical/equipment storage in fume hoods are strictly limited

  • If chemicals or hazardous substances are stored in the hood, the fan is on with the sash lowered

  • Chemicals/equipment stored in the hood are at least 6 in from the sash

HAZARDOUS WASTE

  • Containers are clearly marked as "Hazardous Waste"

  • Waste is stored in designated area which is posted

  • Waste is stored in secondary containment

  • Waste is regularly removed from the lab and staff know the procedure for arranging removal

ELECTRICAL

  • Electric cords are in good condition and plugged in

  • Cover plates for outlets and switches are in place and in good condition

  • Circuit Breaker panels are accessible and not obstructed by 30 inches

  • Outlet strips are equipped with overload protection

  • Extension cords are restricted

  • Equipment is properly grounded

  • GFCI outlets are installed where required

  • GFCI outlets are tested annually

Notes & Recommendations

Actions, Notes & Recommendations

  • Immediate Action Required

  • Notes

  • Recommendations

  • Follow-up Date

  • Report Forwarded To:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.